MR. KAJ GERARD DOUGLAS SR. (NPI# 1316283278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316283278 |
| Entity Type | Individual |
| Full Name | MR. KAJ GERARD DOUGLAS SR. |
| Practice Address |
9550 S Eastern Ave Suite 253 Las Vegas NV 89123-8038 |
| Mailing Address |
9550 S Eastern Ave Ste 253 Las Vegas NV 89123-8042 |
| Practice Telephone | 7022049720 |
| Mailing Telephone | (702) 759-6282 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2017-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
9550 S EASTERN AVE SUITE 253 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679780225 | Nancy Domiano-sader | Social Worker | 9550 S Eastern Ave, Suite 220 - B, Las Vegas, NV 89123-8038 | 2007-05-16 |
| 1700278892 | Journey Behavioral Health Center | Community/Behavioral Health | 9550 S Eastern Ave, Suite 253, Las Vegas, NV 89123-8038 | 2015-02-26 |
| 1316335631 | Cheryl A Boyer | Social Worker | 9550 S Eastern Ave, 220, Las Vegas, NV 89123-8038 | 2015-01-09 |
| 1558782904 | Mark Skomal | Rehabilitation Practitioner | 9550 S Eastern Ave, Suite 253, Las Vegas, NV 89123-8038 | 2014-01-01 |
| 1710252275 | Domiano-sader Therapy LLC. | Community/Behavioral Health | 9550 S Eastern Ave, Suite 220, Las Vegas, NV 89123-8038 | 2012-03-16 |
| 1588969737 | Myms Corporation | Clinic/Center | 9550 S Eastern Ave, Suite 253, Las Vegas, NV 89123-8038 | 2011-01-19 |
| 1134352461 | Natalie Tucker Barnes | Specialist | 9550 S Eastern Ave, Las Vegas, NV 89123-8038 | 2009-09-03 |
| 1295942878 | Holly Alene Kaplan | Counselor | 9550 S Eastern Ave, #220d, Las Vegas, NV 89123-8038 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.